MECKLENBURG COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH DIVISION
Data Sheet for Construction of a Public Bathing Facility
Name of Facility____________________________________________________________________________________
Location__________________________________________________________________________________________
Pool Contractor____________________________________________________________________________________
1. Pool Structure:
[ ] Gunite
[ ] Concrete
[ ] Fiberglass
[ ] Other (specify)____________________________
[ ] Rounded corners
2. Circulation Pump:
Make_______________________________________
Model #_____________________________________
H. P. _______________________________________
GPM @ 65ft of head __________________________
[ ] Self priming
3. Filter:
[ ] Sand
[ ] DE
[ ] Cartridge
Make _______________________________________
Model # _____________________________________
Sump pit (L) ______ x (W)_______ x (Ht) _________
Circulation rate (GPM) ________________________
[ ] Pressure gauge
[ ] Sight glass
[ ] Flow meter
Air relief valve: [ ] Automatic [ ] Hand Open
4. Turnover Rate ___________
5. Number of Main Drains __________________________
Size of grate ___________
Number of Returns/Inlets
[ ] located in wall [ ] located in floor [ ] gutter
Size of pipe: ____________________________________
Number of skimmers ____________________________
Make ____________ Model # _____________________
Overflow gutters: _______________________________
Number of outlet drains _________________________
[ ] Hair and lint catcher
Automatic Chemical Feed:
Type _________________________________________
Make ________________ Model # _________________
[ ] Vacuum line
6. Fill Spout:
Location _______________________________________
Size of pipe _____________________________________
Other method ___________________________________
8. Deck: Type ____________________________________
Finish _________________________________________
Minimum width ________________________________
Slope _________________________________________
[ ] Deck drain
[ ] Hose Bib
[ ] Diving Boards [ ] Depth Markers
Number of ladders: ___________ stairs: ____________
9. Deck Light
[ ] Underwater & deck lights
[ ] Emergency phone
[ ] Safety equipment
[ ] Proper signage
[ ] Deck lights: watts __________ or lumens ________
10. Bathhouse:
Number of toilets: female __________ male _________
Number of urinals: _____________________________
Lavatories _______________ Showers _____________
11. Toilet Room Floor:
[ ] Floor drain to sanitary sewer
[ ] Non-skid floor finish
12. Equipment Room:
[ ] Weatherproof building
[ ] Vented away from pool
[ ] Mechanical or cross vented floor
[ ] Sanitary sewer fl. drain
[ ] Fl. ¼” slope to drain floor
Ceiling height _______________________________ Ft.
13. Chemical Storage Area:
[ ] Vented away from pool
[ ]Mechanical or cross vented
Floor area __________________________________ Ft2
14. Fence:
[ ] Height > 4ft.
[ ] Openings <4 ½”
[ ] Vertical members <1 ¾” or > 30” between
horizontal rails
[ ] Latch height 54” above grade/bottom rail
inside 3” below top with 18” barrier
15. Wading Pool:
[ ] Located at pool shallow end
[ ] Fence height > 4ft
7. Spa: [ ] Spa timer (15 min max.)
[ ] Spa drains (3’ apart or on two planes)
___________________________________________________
Owner/Contractor
__________________________________________________
Date